| NPI | 1245584168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: GA RN224860) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: GA RN224860) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |